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Community Health HESI Test Bank
1. What does the infant mortality rate measure?
- A. dying for every thousand of the population
- B. dying from 0-5 years old in every thousand population
- C. dying in the first 4 weeks in every thousand children born alive that year
- D. dying before 1 year old in every thousand children born alive that year
Correct answer: D
Rationale: The infant mortality rate measures the number of deaths occurring before 1 year old per 1000 live births. This is a crucial indicator of a population's health status and access to healthcare for infants. Choices A, B, and C are incorrect because the infant mortality rate specifically focuses on deaths within the first year of life, not the entire population or different age ranges.
2. A community health nurse is planning a health promotion campaign. What should be the first step?
- A. Developing educational materials
- B. Assessing the needs of the community
- C. Implementing interventions
- D. Evaluating outcomes
Correct answer: B
Rationale: The correct first step in planning a health promotion campaign is to assess the needs of the community. By understanding the community's specific health needs, preferences, and resources, the nurse can tailor the campaign effectively. Developing educational materials (choice A) should come after assessing needs to ensure relevance. Implementing interventions (choice C) and evaluating outcomes (choice D) should also follow the assessment phase to measure the impact of the campaign accurately.
3. The delivery of basic health services was decentralized to the local government units. The legal basis for this is embodied in:
- A. RA 7035
- B. EO 119
- C. RA 7160
- D. PD 999
Correct answer: C
Rationale: The correct answer is C, RA 7160. This law, also known as the Local Government Code, decentralizes health services to local government units. RA 7035 is not the legal basis for decentralizing basic health services. EO 119 and PD 999 are also not the correct legal bases for the decentralization of health services.
4. A client tells the nurse he is fearful of planned surgery because of evil thoughts about a family member. What is the best initial response by the nurse?
- A. Call a chaplain
- B. Deny the feelings
- C. Cite recovery statistics
- D. Listen to the client
Correct answer: D
Rationale: The correct answer is to listen to the client. Listening allows the nurse to establish therapeutic communication, understand the client's fears and concerns, provide emotional support, and help alleviate anxiety. Calling a chaplain (Choice A) may be appropriate if the client requests spiritual support but should not be the initial response. Denying the feelings (Choice B) is dismissive and can hinder trust and communication. Citing recovery statistics (Choice C) is irrelevant and does not address the client's immediate emotional needs.
5. Which of the following is the earliest school of nursing in the country?
- A. Iloilo Mission Hospital School of Nursing
- B. St. Paul's Hospital School of Nursing
- C. University of Sto. Tomas College of Nursing
- D. Manila Central University
Correct answer: A
Rationale: The correct answer is A: Iloilo Mission Hospital School of Nursing. This nursing school holds the distinction of being the earliest in the Philippines. St. Paul's Hospital School of Nursing, University of Sto. Tomas College of Nursing, and Manila Central University are not the oldest nursing schools in the country, making them incorrect choices.
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